Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 19701 | NE |
NPI | 1154355576 |
---|---|
Provider Name | Jacques Wenner Ramey |
First Address | Omaha, NE 68122-5045 |
Second Address | Omaha, NE 68138-6804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G14009 | (02) | NE |